{"id":37,"date":"2024-10-07T15:26:04","date_gmt":"2024-10-07T15:26:04","guid":{"rendered":"https:\/\/www.comforcare.com\/franchising\/?page_id=37"},"modified":"2025-09-11T12:14:14","modified_gmt":"2025-09-11T12:14:14","slug":"franchise-application","status":"publish","type":"page","link":"https:\/\/www.comforcare.com\/franchising\/franchise-application\/","title":{"rendered":"Franchise Application"},"content":{"rendered":"<section class=\"bde-section-37-152 bde-section\">\n  \n  \n\t\n\n\n\n<div class=\"section-container\"><h1 class=\"bde-heading-37-153 bde-heading\">\nFranchise Questionnaire\n<\/h1><\/div>\n<\/section><section class=\"bde-section-37-154 bde-section\">\n  \n  \n\t\n\n\n\n<div class=\"section-container\"><div class=\"bde-fancy-divider-37-155 bde-fancy-divider\">\n\n\n<div class=\"bde-fancy-divider__wrapper\">\n  <div class=\"bde-fancy-divider__separator   \">\n  \t  <\/div>\n<\/div>\n\n<\/div><div class=\"bde-rich-text-37-156 bde-rich-text breakdance-rich-text-styles\">\n<p>As you look to invest in your future and create an extremely rewarding career for yourself and your family, we're here to help take a look at\u00a0your financial qualifications as a potential franchise owner. Please complete it with as much detail as possible. (The completion of this form places no obligation on either party.)\u00a0<\/p>\n<\/div><div class=\"bde-div-37-166 bde-div\">\n  \n  \n\t\n\n\n\n<h4 class=\"bde-heading-37-176 bde-heading\">\nStart your discovery with our online questionnaire.\n<\/h4><div class=\"bde-form-builder-37-174 bde-form-builder\">\n\n<form id=\"contact-form174\" class=\"breakdance-form breakdance-form--vertical\" data-options=\"{&quot;slug&quot;:&quot;custom&quot;,&quot;name&quot;:&quot;Contact Form&quot;,&quot;ajaxUrl&quot;:&quot;https:\\\/\\\/www.comforcare.com\\\/franchising\\\/wp-admin\\\/admin-ajax.php&quot;,&quot;clearOnSuccess&quot;:true,&quot;hideOnSuccess&quot;:false,&quot;successMessage&quot;:&quot;Thank you for connecting with ComForCare, our team will contact you shortly!&quot;,&quot;errorMessage&quot;:&quot;Something went wrong&quot;,&quot;redirect&quot;:false,&quot;redirectUrl&quot;:&quot;&quot;,&quot;customJavaScript&quot;:&quot;&quot;,&quot;recaptcha&quot;:{&quot;key&quot;:&quot;&quot;,&quot;enabled&quot;:false},&quot;honeypot_enabled&quot;:false,&quot;popupsOnSuccess&quot;:[],&quot;popupsOnError&quot;:[]}\" data-steps=\"0\" >\n  \n  \n  \n<div class=\"breakdance-form-field breakdance-form-field--text\" >\n    \n    \n            <label class=\"breakdance-form-field__label\" for=\"First Name\">\n            First Name<span class=\"breakdance-form-field__required\">*<\/span>\n        <\/label>\n    \n    <input\n    class=\"breakdance-form-field__input\"\n    id=\"First Name\"\n    aria-describedby=\"First Name\"\n    type=\"text\"\n    name=\"fields[First Name]\"\n    placeholder=\"First Name*\"\n    value=\"\"\n                \n        \n        \n    required\n    \n    \n    \n>\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--text\" >\n    \n    \n            <label class=\"breakdance-form-field__label\" for=\"Last Name\">\n            Last Name<span class=\"breakdance-form-field__required\">*<\/span>\n        <\/label>\n    \n    <input\n    class=\"breakdance-form-field__input\"\n    id=\"Last Name\"\n    aria-describedby=\"Last Name\"\n    type=\"text\"\n    name=\"fields[Last Name]\"\n    placeholder=\"Last Name*\"\n    value=\"\"\n                \n        \n        \n    required\n    \n    \n    \n>\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--email\" >\n    \n    \n            <label class=\"breakdance-form-field__label\" for=\"Email\">\n            Email<span class=\"breakdance-form-field__required\">*<\/span>\n        <\/label>\n    \n    <input\n    class=\"breakdance-form-field__input\"\n    id=\"Email\"\n    aria-describedby=\"Email\"\n    type=\"email\"\n    name=\"fields[Email]\"\n    placeholder=\"Email*\"\n    value=\"\"\n                \n        \n        \n    required\n    \n    \n    \n>\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--tel\" >\n    \n    \n            <label class=\"breakdance-form-field__label\" for=\"Phone\">\n            Phone<span class=\"breakdance-form-field__required\">*<\/span>\n        <\/label>\n    \n    <input\n    class=\"breakdance-form-field__input\"\n    id=\"Phone\"\n    aria-describedby=\"Phone\"\n    type=\"tel\"\n    name=\"fields[Phone]\"\n    placeholder=\"Phone*\"\n    value=\"\"\n                \n        \n        \n    required\n    \n    \n    \n>\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--text\" >\n    \n    \n            <label class=\"breakdance-form-field__label\" for=\"city\">\n            City<span class=\"breakdance-form-field__required\">*<\/span>\n        <\/label>\n    \n    <input\n    class=\"breakdance-form-field__input\"\n    id=\"city\"\n    aria-describedby=\"city\"\n    type=\"text\"\n    name=\"fields[city]\"\n    placeholder=\"City*\"\n    value=\"\"\n                \n        \n        \n    required\n    \n    \n    \n>\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--text\" >\n    \n    \n            <label class=\"breakdance-form-field__label\" for=\"state\">\n            State \/ Province<span class=\"breakdance-form-field__required\">*<\/span>\n        <\/label>\n    \n    <input\n    class=\"breakdance-form-field__input\"\n    id=\"state\"\n    aria-describedby=\"state\"\n    type=\"text\"\n    name=\"fields[state]\"\n    placeholder=\"State \/ Province*\"\n    value=\"\"\n                \n        \n        \n    required\n    \n    \n    \n>\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--select\" >\n    \n    \n            <label class=\"breakdance-form-field__label\" for=\"Liquid Cash\">\n            Liquid Cash Available to Start a Business *<span class=\"breakdance-form-field__required\">*<\/span>\n        <\/label>\n    \n    <select\n    class=\"breakdance-form-field__input\"\n    id=\"Liquid Cash\"\n    name=\"fields[Liquid Cash]\"\n    required\n    \n        >\n      <option value=\"\">Liquid Cash Available to Start a Business *<\/option>\n          <option value=\"$50,000 - $75,000\" >$50,000 - $75,000<\/option>\n        <option value=\"$75,000 - $100,000\" >$75,000 - $100,000<\/option>\n        <option value=\"$100,000 - $150,000\" >$100,000 - $150,000<\/option>\n  <\/select>\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--select\" >\n    \n    \n            <label class=\"breakdance-form-field__label\" for=\"networth\">\n            Net Worth<span class=\"breakdance-form-field__required\">*<\/span>\n        <\/label>\n    \n    <select\n    class=\"breakdance-form-field__input\"\n    id=\"networth\"\n    name=\"fields[networth]\"\n    required\n    \n        >\n      <option value=\"\">Net Worth *<\/option>\n          <option value=\"$100,000 - $200,000\" >$100,000 - $200,000<\/option>\n        <option value=\"$200,000 - $300,000\" >$200,000 - $300,000<\/option>\n        <option value=\"$300,000 +\" >$300,000 +<\/option>\n  <\/select>\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--checkbox\" >\n    \n    \n    \n    <fieldset role=\"group\"\n    aria-label=\" Check this box to opt-in to receive informational and\/or promotional SMS messages for ComForCare. By clicking SUBMIT you consent to receiving SMS messages from ComForCare. To opt-out, text STOP.\"\n    >\n       <legend class=\"breakdance-form-field__label\"><p style=\"text-align:left; font-size:14px; color: white !important;\"> Check this box to opt-in to receive informational and\/or promotional SMS messages for ComForCare. By clicking SUBMIT you consent to receiving SMS messages from ComForCare. To opt-out, text STOP.<\/p><\/legend>\n          <div class=\"breakdance-form-checkbox\">\n          <input\n              type=\"checkbox\"\n              name=\"fields[SMS Consent CFC]\"\n              value=\"true\"\n              id=\"SMS Consent CFC-1\"\n              \n                        >\n          <label class=\"breakdance-form-checkbox__text\" for=\"SMS Consent CFC-1\"><p style=\"text-align:left; font-size:14px; color: white !important;\"> Check this box to opt-in to receive informational and\/or promotional SMS messages for ComForCare. By clicking SUBMIT you consent to receiving SMS messages from ComForCare. To opt-out, text STOP.<\/p><\/label>\n      <\/div>\n  <\/fieldset>\n\n\n\n    \n    \n<\/div>\n\n\n  \n\n<div class=\"breakdance-form-field breakdance-form-footer\">\n    \n    \n                                    \n    \n    \n    \n    \n            \n            <button type=\"submit\" class=\"button-atom button-atom--primary breakdance-form-button breakdance-form-button__submit\"  >\n    \n        <span class=\"button-atom__text\">Complete<\/span>\n\n        \n        \n            <\/button>\n    \n    <input type=\"hidden\" name=\"form_id\" value=\"174\">\n    <input type=\"hidden\" name=\"post_id\" value=\"37\">\n<\/div>\n\n  \n<\/form>\n\n\n<\/div><div class=\"bde-text-37-175 bde-text\">\nFor details on data handling, please visit our Franchisee Privacy Policy here. Message and data rates may apply. The frequency of messages varies. Reply HELP for assistance or STOP to unsubscribe.\n<\/div>\n<\/div><\/div>\n<\/section><div class=\"bde-globalblock-37-163 bde-globalblock\"><section class=\"bde-section-94-100-94-1 bde-section bde-section-94-100\">\n  \n  \n\t\n\n\n\n<div class=\"section-container\"><h3 class=\"bde-heading-94-101-94-1 bde-heading bde-heading-94-101\">\nWe\u2019re Here to Answer Your Questions 24\/7\n<\/h3><div class=\"bde-button-94-102-94-1 bde-button bde-button-94-102\">\n    \n                        \n                        \n    \n    \n    \n    \n            \n            <button type=\"button\" class=\"button-atom button-atom--primary bde-button__button\"  >\n    \n        <span class=\"button-atom__text\">(800) 866-4044<\/span>\n\n        \n        \n            <\/button>\n    \n\n\n<\/div><\/div>\n<\/section><\/div><section class=\"bde-section-37-164 bde-section\">\n  \n  \n\t\n\n\n\n<div class=\"section-container\"><div class=\"bde-basicslider-37-165 bde-basicslider\">\n<div class=\"breakdance-swiper-wrapper\" data-swiper-id=\"165\">\n    <div class=\"swiper\">\n      <div class=\"swiper-wrapper\">\n      \n\t                    \n        <div class=\"swiper-slide\">\n          <div class=\"bde-basicslider__slide\" style=\"  background: #EDFFFEFF;\n\">\n              <div class=\"bde-basicslider__content\">\n                          <h3 class=\"bde-basicslider__title\">\"I can make a difference in people\u2019s lives.\"<\/h3>\n                                    <div class=\"bde-basicslider__text\">\n              <p><q>I lost my Mom to pancreatic cancer, and it was a life-changing experience. We are all trying to help in our own way. For me there\u2019s definitely more to life, and I want to give back and make a difference.<\/q><\/p><p><cite>-Steve Alfonsi<\/cite><\/p>\n            <\/div>\n                                    <\/div>\n\n\t\t\t\t\t\t\n          <\/div>\n        <\/div>\n       \n\t                    \n        <div class=\"swiper-slide\">\n          <div class=\"bde-basicslider__slide\" style=\"  background: #EDFFFE;\n\">\n              <div class=\"bde-basicslider__content\">\n                          <h3 class=\"bde-basicslider__title\">\"I felt very comfortable all along the discovery and training process.\"\"<\/h3>\n                                    <div class=\"bde-basicslider__text\">\n              <p><q>I felt very comfortable all along the discovery and training process. Other owners spoke to my emotions with regard to helping people. The caring came right across the phone. I realized it was one team, and to me that\u2019s important.<\/q><cite>\u00a0<\/cite><\/p><p><cite>- Kevin Prior<\/cite><\/p>\n            <\/div>\n                                    <\/div>\n\n\t\t\t\t\t\t\n          <\/div>\n        <\/div>\n       \n\t                    \n        <div class=\"swiper-slide\">\n          <div class=\"bde-basicslider__slide\" style=\"  background: #EDFFFE;\n\">\n              <div class=\"bde-basicslider__content\">\n                          <h3 class=\"bde-basicslider__title\">\"They were very open; that really struck me.\"<\/h3>\n                                    <div class=\"bde-basicslider__text\">\n              <p><q>I felt very secure going into this business, even though I had no prior experience in healthcare, because ComForCare displayed everything to me.<\/q><\/p><p><cite>-Ajay Sehgal<\/cite><\/p>\n            <\/div>\n                                    <\/div>\n\n\t\t\t\t\t\t\n          <\/div>\n        <\/div>\n       \n      <\/div>\n    <\/div>\n                <div class=\"swiper-button-prev\">\n            \n        <\/div>\n        <div class=\"swiper-button-next\">\n            \n        <\/div>\n    \n            <div class=\"swiper-pagination\"><\/div>\n    \n<\/div>\n\n<\/div><\/div>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Franchise Questionnaire As you look to invest in your future and create an extremely rewarding career for yourself and your family, we&#8217;re here to help take a look at\u00a0your financial qualifications as a potential franchise owner. Please complete it with as much detail as possible. (The completion of this form places no obligation on either [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_breakdance_hide_in_design_set":false,"_breakdance_tags":"","footnotes":""},"class_list":["post-37","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.6 (Yoast SEO v26.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>ComForCare Franchise Application \u2013 Become a Senior Home Care Owner<\/title>\n<meta name=\"description\" content=\"Start your journey to owning a ComForCare senior home care franchise. 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